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HELP!! I am so confused.....
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<blockquote data-quote="gcvmom" data-source="post: 227562" data-attributes="member: 3444"><p>Similar scenario to my difficult child 2. He was in the 4th grade also when things started to fall apart. Was being treated for ADHD and aggression/impulse control issues, but doing very well up to that point on Concerta and Risperdal. Then things just sort of began to deteriorate.</p><p> </p><p>The Concerta acted like water. He was becoming more emotional. His handwriting went south as did many of his grades. His behavior made him the target for bullying, which continued (unfortunately) until the following year in 5th when he "happened" to bring a Swiss Army knife to school and made a threatening comment to another student. </p><p> </p><p>That incident got the ball rolling for private testing, school evaluation, and an IEP put in place, in addition to new medications being tried. We also learned that he likey had a temporary movement disorder (explained the handwriting issue) related to a bad reaction to an untreated strep infection -- which can also cause mood issues. His strep titers were off the charts -- so that was the smoking gun.</p><p></p><p>Since kindergarten, he's been trialed roughly 17 different medications, most of which made things worse. The combo he's on now seems to be working the best. A few years ago, the psychiatrist suggested there was a possibility that what we were seeing was early bipolar, but that he couldn't diagnosis that at such a young age. Puberty would have to play out first. He still has the ADHD diagnosis, though that is a much smaller part of the picture, and now has a Mood Disorder-not otherwise specified (not otherwise specified) diagnosis. The more time goes on, the more it seems to fit.</p><p> </p><p>Last summer, we did try a complete medication wash. Starting from zero, so to speak. Because things were so out of control with his behavior and nothing seemed to be working. So you probably aren't wrong for thinking about trying this, but I would be suprised if you suddenly saw the same kid you saw before all this began. I think something happens in the brains of these kids at a certain developmental point and that's why we see a deterioration at around the age of 10 (for many, not all).</p><p> </p><p>Just understand that taking him off everything is going to mean you have to be prepared for things to get worse before they get better. Timing can be important, because you and the school have to be prepared for handling whatever comes down out of this. That's why we chose summer vacation to do it. It meant his peers didn't see him at his worst and he didn't have the added pressure of school to worry about. But sometimes you don't have that luxury, either. </p><p> </p><p>You should definitely consult with your psychiatrist and your family and decide what the best next step is. But going back to the beginning is definitely not a bad idea in this case.</p><p> </p><p>(((((HUGS)))))</p></blockquote><p></p>
[QUOTE="gcvmom, post: 227562, member: 3444"] Similar scenario to my difficult child 2. He was in the 4th grade also when things started to fall apart. Was being treated for ADHD and aggression/impulse control issues, but doing very well up to that point on Concerta and Risperdal. Then things just sort of began to deteriorate. The Concerta acted like water. He was becoming more emotional. His handwriting went south as did many of his grades. His behavior made him the target for bullying, which continued (unfortunately) until the following year in 5th when he "happened" to bring a Swiss Army knife to school and made a threatening comment to another student. That incident got the ball rolling for private testing, school evaluation, and an IEP put in place, in addition to new medications being tried. We also learned that he likey had a temporary movement disorder (explained the handwriting issue) related to a bad reaction to an untreated strep infection -- which can also cause mood issues. His strep titers were off the charts -- so that was the smoking gun. Since kindergarten, he's been trialed roughly 17 different medications, most of which made things worse. The combo he's on now seems to be working the best. A few years ago, the psychiatrist suggested there was a possibility that what we were seeing was early bipolar, but that he couldn't diagnosis that at such a young age. Puberty would have to play out first. He still has the ADHD diagnosis, though that is a much smaller part of the picture, and now has a Mood Disorder-not otherwise specified (not otherwise specified) diagnosis. The more time goes on, the more it seems to fit. Last summer, we did try a complete medication wash. Starting from zero, so to speak. Because things were so out of control with his behavior and nothing seemed to be working. So you probably aren't wrong for thinking about trying this, but I would be suprised if you suddenly saw the same kid you saw before all this began. I think something happens in the brains of these kids at a certain developmental point and that's why we see a deterioration at around the age of 10 (for many, not all). Just understand that taking him off everything is going to mean you have to be prepared for things to get worse before they get better. Timing can be important, because you and the school have to be prepared for handling whatever comes down out of this. That's why we chose summer vacation to do it. It meant his peers didn't see him at his worst and he didn't have the added pressure of school to worry about. But sometimes you don't have that luxury, either. You should definitely consult with your psychiatrist and your family and decide what the best next step is. But going back to the beginning is definitely not a bad idea in this case. (((((HUGS))))) [/QUOTE]
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